MEDICARE: VIBES HOME CARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1770261372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIBES HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1630 PERIWINKLE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77038-2911
Country	:	US
Telephone Number	:	281-236-1016
Fax Number	:

Provider Business Practice Location Address
First Line	:	1630 PERIWINKLE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77038-2911
Country	:	US
Telephone Number	:	281-236-1016
Fax Number	:

Authorized Official
Title or Position	:	CARE COORDINATOR MANAGER
Name	:	TAMMY UONG
Credential	:
Telephone Number	:	281-236-1016

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	05/23/2025

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